Hospital Utilization Management Coordinator

Horizon Health Corporation; Lancaster (Lancaster County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Paid time off

Medical, Dental, Vision plans

Tuition reimbursement

401K with company match

Stock plan discounts

SoFi student loan program

Career development opportunities

Make a difference every day

Job summary

Lancaster Behavioral Health Hospital is hiring a Utilization Management Coordinator to secure authorizations across payer types and ensure documentation aligns with patient conditions. This role collaborates with social services, nursing and operations to support appropriate care levels and payment outcomes.

Qualifications include a Bachelor’s degree in psychology or related field (Masters preferred) and 1–3 years in utilization management. RN or SW licensure is preferred.

Qualifications

• Bachelor’s degree in psych related field and/or equivalent combination of education and experience.
• Masters preferred.
• 1 to 3 years of Utilization Management preferred.

Responsibilities

• Performs timely, daily clinical reviews with all payer types to secure authorization for continued treatment.
• Works with hospital operations to ensure timely documentation is aligned with patient conditions.
• Educates and guides on level of care requirements and payer expectations for patient acuity.
• Ensure that all denials are followed up weekly and documentation is detailed.
• Maintains Midas documentation daily with sufficient detail to ensure payment.

Skills

Utilization management

Education

Bachelor’s degree in psychology or related field

Masters preferred

Job description

Lancaster Behavioral Health Hospital is hiring a Utilization Management Coordinator to secure authorizations across payer types and ensure documentation aligns with patient conditions. This role collaborates with social services, nursing and operations to support appropriate care levels and payment outcomes.

Qualifications include a Bachelor’s degree in psychology or related field (Masters preferred) and 1–3 years in utilization management. RN or SW licensure is preferred.